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It has been reported that 45 percent of men have experienced orgasm after spinal cord injury.Complete injuries involving S2 to S4 affect the nerves responsible for two main chambers (corpora cavernosa) of the penis which fill with blood to create an erection, damage at and above this level makes reflex (physically stimulated) erections totally unachievable for most.Care should be taken not to pull on a catheter during sex but don’t let it spoil enjoyment.

While both methods can help sustain an erection, the ability to achieve some form of erection in the first place, is most desirable.

Wheelchair sex and the ability to develop sexuality, participate in sexual activity, and maintain long term intimate relations is desired as much by people with a disability as in the general population.

The majority of spinal cord injury wheelchair users are 15 to 45 years of age so sex and fertility often become an important issue.

For men with incomplete spinal cord injuries involuntary motor and or sensory function still exists below the level of injury.

The ability to achieve a sustainable erection for wheelchair sex and reach orgasm is usually possible.